Aurinia starts PRESERVE trial combining LUPKYNIS with biologics in lupus nephritis
The Phase 4 study will test LUPKYNIS alongside belimumab, obinutuzumab or anifrolumab in about 150 patients as Aurinia reports second-quarter results and reiterates 2026 revenue guidance.
Aurinia Pharmaceuticals disclosed in an August 6, 2026 earnings release that it has recently initiated PRESERVE, a Phase 4, multicenter study investigating the combination of LUPKYNIS and belimumab, obinutuzumab or anifrolumab in patients with lupus nephritis.1 The study will investigate whether the multi-target approach of combining LUPKYNIS with these biologic agents improves outcomes in patients with lupus nephritis.1
Enrollment is set at approximately 150 patients across approximately 50 sites in the US.1 The primary endpoint is the proportion of patients achieving complete renal response (CRR) at 6 months.1
Aurinia also said it has now initiated clinical development of aritinercept in four potential indications.1 Aritinercept is described as a dual inhibitor of B cell-activating factor (BAFF) and a proliferation-inducing ligand (APRIL) for the potential treatment of autoimmune diseases.1
On financials, the company reported total revenue for the three and six months ended June 30, 2026 of $83.2 million and $160.9 million, up 19% and 21% respectively from $70.0 million and $132.5 million in the same periods of 2025.1 Net product sales of LUPKYNIS were $79.4 million and $153.0 million for the quarter and half year, up 19% and 21% respectively.1
As of June 30, 2026, the company held cash, cash equivalents, restricted cash and investments of $443.1 million, compared to $398.0 million at December 31, 2025.1 Aurinia reiterated its guidance for 2026 total revenue of $315 million to $325 million, up 11% to 15% compared to 2025, and 2026 net product sales of $305 million to $315 million, up 12% to 16% compared to 2025.1
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